Most Relevant Information
Provider Data
| NPI Number: | 1003457581 |
| Provider Name: | SHIVANI BHATTACHARYA PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 68950 |
Most Important Dates
| Enumeration Date: | 10/04/2019 |
| Last Updated: | 10/04/2019 |
Provider Practice Location
9610 RIDGEHAVEN CT STE A
SAN DIEGO
CA
921235603
Practice Location Phone/Fax
| Phone: | 6195435231 |
| Fax: |
Provider Mailing Location
9610 RIDGEHAVEN CT STE A
SAN DIEGO
CA
921235603
Provider Mailing Phone/Fax
| Phone: | 6195435231 |
| Fax: |